National Provider Identifier [NPI]: |
1649273327 |
Last Name Of The Provider |
FRIEDLAND |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1619 CREIGHTON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PENSACOLA |
Zip Code Of The Provider |
325047152 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
9183 |
Number Of Medicare Beneficiaries |
1495 |
Total Submitted Charge Amount |
3406116 |
Total Medicare Allowed Amount |
1387390.06 |
Total Medicare Payment Amount |
1067847.58 |
Total Medicare Standardized Payment Amount |
1083696.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
229 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
457 |
Total Drug Medicare AllowedAmount |
195.85 |
Total Drug Medicare PaymentAmount |
177.68 |
Total Drug Medicare Standardized Payment Amount |
177.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
8954 |
Number Of Medicare Beneficiaries With Medical Services |
1495 |
Total Medical Submitted Charge Amount |
3405659 |
Total Medical Medicare Allowed Amount |
1387194.21 |
Total Medical Medicare Payment Amount |
1067669.9 |
Total Medical Medicare Standardized Payment Amount |
1083518.96 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
372 |
Number Of Beneficiaries Age 65 to 74 |
469 |
Number Of Beneficiaries Age 75 to 84 |
448 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
738 |
Number Of Male Beneficiaries |
757 |
Number Of Non Hispanic White Beneficiaries |
1006 |
Number Of Black or African American Beneficiaries |
415 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
994 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
501 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
3.844 |